Applying The Four Principles Case Study Part 1 Chart 975429

Applying The Four Principles Case Studypart 1 Chart 60 Pointsbased

Applying the Four Principles: Case Study Part 1: Chart (60 points) Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible. Medical Indications Beneficence and Nonmaleficence Patient Preferences Autonomy To help James from the high blood pressure and fluid buildup, immediate dialysis is required. The condition of James has worsened when he missed dialysis. The only thing that can save him is a kidney transplant and the matching donor is his twin brother, Samuel. Even though a kidney transplant can save the life of James, it may as well pose a significant threat to Samuel through surgery and the recovery process. The physician respected the autonomy of the parents in using their belief in God and faith that through a religious service, their son’s health condition can be restored. The parents are faced with the possibility of having Samuel donate his kidney to James. Mike seems to struggle with this reality and believes in the possibility of a miracle happening since it is a test of true faith. Respect for autonomy was the primary principle used in this case. The physician respected the strong belief and faith of the parents in God and gave them an opportunity to make a decision. Quality of Life Beneficence, Nonmaleficence, Autonomy Contextual Features Justice and Fairness Medical treatment will benefit James by restoring his kidney functioning and save his life. But there may be temporary discomfort resulting from the dialysis. It is important for the renal functioning of James to go back to normal but he did not get the treatment due to autonomy and the decision made by the parents to depend on their faith and belief in God. The condition of James has deteriorated and he now requires a kidney transplant. He will need kidney dialyses that can impact his quality of life because this procedure is physically draining since one needs to go through this procedure, normally thrice a week. He must have a kidney transplant or will lose his life. Getting a kidney transplant will improve James’ quality of life but his brother will experience a decline in functioning if surgery is done with regard to the recovery process. And in case he loses the one kidney he has, he would too require a transplant. Donating his kidney would save his twin brother’s life; as a result, it would improve their relationship and their lives because at least he would have a brother. Failure to donate his kidney would lead James to death and Samuel would live with lifetime guilt for not saving his brother’s life. Non-maleficence is indicated when Mike struggles with the idea of why he has to put Samuel through this situation. James’ parents (Mike and Joanne) are faced with the decision of whether to allow Samuel donate his kidney to save James’s life. Some people could argue that it may not be Mike and Joanne’s decision but Samuel’s. Considering the close relationship between the twin brothers, it may be better for Samuel to donate his kidney rather than losing his brother. I believe that it is their choice to make. But the thoughts and beliefs of Mike are taking the center stage, seemingly putting the life of James solely on his faith. Mike wonders whether it is just to put Samuel through the process of surgery and the risk of remaining with one kidney. However, little is seen regarding the stance of Joanne. It may be argued that she is not included in decision making. ©2019. Grand Canyon University. All Rights Reserved.

Part 2: Evaluation Answer each of the following questions about how principlism would be applied: In words answer the following: In words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points) From a Christian Worldview, I believe that the principle of autonomy is the most pressing. Autonomy refers to the ability of patients to make their own decisions regarding their health and medical treatments. In this case, autonomy is seen where Mike decides to forgo temporary dialysis for their son and turn to faith healing service. The parents acted autonomously for their son and placed the health of their son on the fate of their faith. When James condition worsens, his father tends to struggles with the idea of allowing his son through the medical procedure of donating a kidney. He hopes that his faith in God will change the situation. Patient autonomy is a significant factor in medical decisions. This principle requires respect for the decision making abilities of the autonomous people (Beauchamp & Childress, 2014). In this case, the attending physician held a discussion with the mother regarding the diagnosis, treatment and risk of treatment and the risk without treatment. Mike informed the physician of their decision of not attending the dialysis for some time as they seek God’s healing. They didn’t want to subject their son to multiple cases of dialysis as they believed that their faith in God could do miracles and relieve their son. In a situation where the associated party is a child, the parent assumes the autonomy of making choices for medical treatment. In words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points) Christians will tend to rank the priorities based on their faith. They may rank them as 1) Autonomy; 2) Nonmaleficence; 3) Beneficence; and 4) Justice. Respect is a key aspect in the Christian faith and the relationship between God and humans. When God created man, he gave him the authority to make his own decisions. As a Christian physician, he is expected to inform and respect the choices of the parents. Under the laws of bioethics, patients have the power to decide the mode of treatment they want and have a right to refuse certain treatments, surgeries, or medications (Tom & James, 2014). The decision may not be in the best interest of the patient, but it is something that medical practitioners must respect. The principle of non-maleficence stipulates that human subjects should not be harmed. This means that nursing practitioners must make the best medical decisions and adhere to the medical rules and regulations and ethics to ensure that patients are safe. The third is the principle of beneficence which is an ethical perspective that involves promoting all that is good. It entails trying to improve the health condition of the patients. The principle of justice campaigns for the equal distribution of benefits and risks of research (Beauchamp & Childress, 2014). In the context of Christian biblical narrative, I believe that the order of these principles should appear just as they are. Respect for autonomy should appear ahead of other principles. Allowing patients to take part in their care and make their own medical choices is crucial. This gives room for an equal diplomatic approach to the provision of healthcare. Respect for autonomy would be considered first because based on the Christian biblical story of creation, fall, and redemption of man, God allowed us to be on earth and make a choice between the right and wrong. References: Beauchamp, T. L., & Childress, J. F. (2014). Principles of biomedical ethics (7th ed.). New York: Oxford University Press. Tom L. & James F. (2014) Principles of Biomedical Ethics , 6th Edition. Oxford: Oxford University Press, p. 417. Reilly, D. (2006, Fall). Following Christ's example, I seek to serve those whose path crosses mine. Retrieved July, 2019, from Assignment 2: Practicum Week 2 Journal Entry NURS 6650 Psychotherapy with Groups and Families Walden University Group Therapy Progress Note Client: ___John M_______________________________________________ Date:9/18/2018 ___________ Group name:_____________N/A___________________________________ Minutes:_______45_ Group session # __N/A____ Meeting attended is #: _1_____ for this client. Number present in group ___2__ of _____ 2scheduled Start time:_1130_______ End time: ___1215_____ Assessment of client · Participation level: â‘ Active/eager â‘ Variable â‘ Only responsive â‘ Minimal â‘ Withdrawn · Participation quality: â‘ Expected â‘ Supportive â‘ Sharing â‘ Attentive â‘ Intrusive â‘ Monopolizing â‘ Resistant â‘ Other: _____________________________________ · Mood: â‘ Normal â‘ Anxious â‘ Depressed â‘ Angry â‘ Euphoric â‘ Other: _______________ · Affect: â‘ Normal â‘ Intense â‘ Blunted â‘ Inappropriate â‘ Labile â‘ Other:_______________ · Mental status: â‘ Normal â‘ Lack awareness â‘ Memory problems â‘ Disoriented â‘ Confused â‘ Disorganized â‘ Vigilant â‘ Delusions â‘ Hallucinations â‘ Other:__________________ · Suicide/violence risk: â‘ Almost none â‘ Ideation â‘ Threat â‘ Rehearsal â‘ Gesture â‘ Attempt · Change in stressors: â‘ Less severe/fewer â‘ Different stressors â‘ More/more severe â‘ Chronic · Change in coping ability/skills: â‘ No change â‘ Improved â‘ Less able â‘ Much less able · Change in symptoms: â‘ Same â‘ Less severe â‘ Resolved â‘ More severe â‘ Much worse · Other observations/evaluations:________________________________________________________ In-session procedures: · __________Introduction_________________________________________________________________ · ___ · History of Present Problem____________________________________________________________________________ · _Assessment______________________________________________________________________________ · Formulated Plan _______________________________________________________________________________ · __________ _____________________________________________________________________ Homework: Daily Recording of Sobriety 1.

2. Focus on present and future, not the past Commit to 12 steps Meetings 3. Other Comments: Brochure provided for AA meetings in the area of city of Phoenix _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Leandre Signatures Date American Psychological Association | Division 12 1 History of Presenting Case The family consisted of 40 -year-old John M, and his wife Mary M., who is 32 years old, and they have no children. The clients were seen in a mental crisis center. Initially, Mr. John had been voluntarily admitted to the unit due passive suicidal thoughts, depression, and alcohol dependence. Mr. John had been recently fired from his job due to showing at work drunk. Couple therapy was recommended to speed up his recovery and maintain sobriety. In the session, Mr. John self-reported mood as depressed, and he acknowledged his drinking problem disrupting his life, and he was prepared to fully participate in the recovery for the sake of his well-being and his marriage. On the hand, his wife Mary, appeared anxious, and frustrated. She blamed the husband for all the misery of the family. She was much worried about their future as the husband had lost his job. However, she was willing to support him in recovery. Psychiatric History: Mr. John has battling depression for six years, and his PCP prescribed antidepressant (Zoloft) last year but he abruptly stopped taking them as he felt that the medication was affecting his sexuality. He did not follow up with his PCP. He self-medicates with alcohol. His wife reported history of anxiety and occasional panic attacks, she was taking fluoxetine 40mg daily. The medication was prescribed by PCP. Psychiatric Hospitalization : It was the first time for Mr. John to hospitalized in mental facility. His wife reported no history of psychiatric hospitalization. Medical History : They both denied any medical history Psychosocial History : They both said they smoked marijuana occasionally. The wife works as cashier in a local gas station. They live in a one- bedroom apartment. Differential Diagnosis: Major Depression Disorder F 32 Mr. John presented with depressed mood and reported history of loss of interest in pleasurable activities, sleep disturbance and suicidal thoughts lasting more than 2 weeks. In addition, to meet the diagnostic criteria the symptoms had caused clinically significant distress or impairment in social, occupational, or other important areas of functioning( American Psychiatric Association, 2013) Alcohol Use disorder AUD To be diagnosed with an AUD, individuals must meet certain diagnostic criteria. Some of these criteria include problems controlling intake of alcohol, continued use of alcohol despite problems resulting from drinking, development of a tolerance ( Grant& Saha, 2015). Generalized Anxiety Disorder : Ms. Mary exhibited some of the signs of generalized anxiety. Diagnostic criteria symptoms include excessive anxiety and worry as well as restlessness, fatigue, irritability, tension, and sleep problems (Watson& Greenberg, 2017) Ethical and Ethical Implications of Counselling the Couple Family members often experience resentment about past substance abuse and fear and distrust about the possible return of substance abuse in the future (O’ Farrell& Fals-Stewart, 2013)In the case of John and Mary, there is a higher probability that there will be uncertainty and distrust during the recovery. It may be unethical to tell directly his wife that her anxiety and blame towards her husband may demoralize him and impede the recovery. However, it may be beneficial as feelings experienced by the substance abuser and the family often lead to an atmosphere of tension and unhappiness in couple and family relationships( O’Farrell & Fals-Stewart, 2013). References American Psychiatric Association. (2013). Major Depressive Disorder. Retrieved from Frisch, N. C., & Frisch, L. E. (2011). Psychiatric mental health nursing (4th ed.). Clifton Park, NY: Delmar Pub. Grant, B., & Saha, T. (2015). Epidemiology of DSM-5 Alcohol Use Disorder Results From the National Epidemiologic Survey on Alcohol and Related Conditions III. Jama Psychiatry , 72 (8). Retrieved from Nichols, M. (2013). The Essentials of Family Therapy (6th ed.). United States: Pearson Education. O'Farrell, T. J., & Fals-Stewart, W. (2013). Behavioral Couples Therapy for Alcoholism and Other Drug Abuse. Alcoholism Treatment Quarterly , ), . Retrieved from Watson, J. C., & Greenberg, L. S. (2017). Emotion-focused therapy formulation of generalized anxiety disorder. American Psychology Association , 54 (4), 17-40. Retrieved from